SGN2000-00183 CITY OF TIGARD SIGN PERMIT
,4,1{ DEVELOPMENT SERVICES PERMIT#: SGN2000-00183
- DATE ISSUED: 11/06/2000
13125 SW Hall Blvd.,Tigard, OR 97223 (503) 639-4171
EXPIRATION DATE:
BUSINESS NAME: TIGARD GRANGE PARCEL: 2S103DD-0060
SIGN LOCATION: 13770 SW PACIFIC HWY
APPLICANT/AGENT: ZONE: C-G
BUSINESS TAX NO: JURISDICTION: TIG
SIGN
PERMANENT: FREESTANDING: FREEWAY:
TEMPORARY: X WALL: Y ELECTRONIC:
OTHER: BILLBOARD: BALLOON:
SIGN DIMENSIONS: 3'X 6'
TOTAL SIGN AREA: 18 sq.ft.
WALL AREA: 2,714 sq.ft.
WALL FACE (DIRECTION): S
SIGN HEIGHT: ft.
PROJECTION FROM WALL: in.
ILLUMINATION:
DESCRIPTION OF SIGN: Placement of one temporary banner. Date for banner is 11-15-00 thru 12-15-00.
MATERIALS: NYLON BANNER
EXISTING SIGNS: 1
ELECTRICAL PERMIT REQUIRED:
BUILDING PERMIT REQUIRED:
ADMINISTRATIVE EXCEPTIONS:
TOTAL PERMIT FEES: $ 15.00
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes
and all other applicable laws. All work will be done in accordance with approved plans. A sign permit shall expire 90
days from approval date. A temporary sign all expire 30 days from approval date. A balloon sign shall expire 10
ciavc from annrnvaI riatP
APPROVED BY: 1/2-"`
y i J
PERMITTEE SIGNATURE: =� �� �-<�� o���v — � �(
DATE: 11/06/2000
Recd By /C SP
y Sign Permit A• lication Date Recd 1 t 1 �4�
fTy' f='t:GARD Permanent o `em'ora !% 1/40
7Permit No- /)
!GA D, HALL BLVD. Commercial or Rest.en !al )Parma Fee -5(7") ,e—opt V
1GARD, OR 97223 Receipt No.
503) 639-4171 Please Print or Type. Called
Incomplete or illegible applications will not be accepted.
Name of Development/Project Are there any existing freestanding or wall signs at this
location, including wall signs that overlap a tenant space?
Site �;R R D (0A �4 �t� 9. .. location,
Yes EipNo
Address! Street ddress L� if"yes",a list or diagram of all sign.dimensions and
Location /..3 7 7 er
u1 EI l square footage must also be submitted.
Suite/Bldg.if City/State Zip
b 9 -D F1a'a'3 NOTE: If work authorized under a sign permit has not
Name _ been completed within ninety days after the
property
i a b > N Q issuance of the permit,THE PERMIT WILL
Owner Mailing 'ddress BECOME NULL AND VOID.
City/State Zip Phone I hereby acknowledge that I have read this application,that the
information given is correct,that I am the owner or authorized agent of the
` �, 7a owner,and that plans submitted are in compliance with the City of Tigard.
f -
Tenant or Name 4 - Date
_Sign• eofOw er/;g-nt
f /,
j/� _ vii aJ /-�Dick-Co
Business_ `;l
Phone
g/ G�s
Sign Suite vaZ 06/yr ontact Person Name
6111 �� .4-u ( c� �3 /
Contractor Mailing Address
Prior to permit
issuance,acopPhoney City/State Zip .
are r required
I Fte utra . ,_tial laments
are it
e>�d in Oregon Const.Cont.Board Exp.Date
1
C.O.T. icense# ❑ Goil algi om _
database ❑ 2 15INETfgifer:idt plan,_raven o ca oo-
Proposed ❑ Freeway ` q3 ` • i n ear tt 4i
❑ Permanent ❑ . iZe equiremelit. t3`SiI 114 �r 7
• Sign �i�
Temporary Freestanding ❑ Electronic 3g — '--.5• lte/ lot Plans.
Check all that wan ❑ Balloon Note'-Niallit�s'dQ not P
apply �` Other ❑ ptes�o a cvatlon_s-R-4.__ -7.:4-4----.--.7.:,-,:....,-- --,-...;=drawn o.ca. -
0 Billboard A3 pt . �i 11040 nt .�0
►,� New sign? 4
izexequirenietit—S 1i2co4c6"
0 Alteration to existing sign? Note. Wall ns c.notneedo�be drawn to
scale ut murtjntlud tldi dire wns,
Sign Dimensions: .$501),_ . ' �- - tz▪ a~)
v 0 �i ager Be tle t tg9 � - .
Total Sign Area(sq. ft.). $-5:.`Ul)1.Fde :'emporary."gn. ny Pe?
Sign
Total Wall Area(s•. '•)
Data PieaSe �.t 7 / 5/ :
complete Di -ction Wall Faces circle one):: FOR OFFICE USE ONLY:
Zoning:
each item 4` Map/TL* s o
in this ,.4. E W NE NWSW ') - .�
section _ ' i i�J "Notes °• ~-
Height to top of si•n feet): X02 ` rs /5 Yes ;A No
Projection From Wall (inches): , Electrical Permit Required? ❑
Copy:
f Building Permit Required? ❑ Yes °
Materials �.- . _,� -�— ' �- i
Will sign have illumina on? No 0Yes ❑
Approved t3y: Date'of Approval"
T pe: • Internal i'. External
Expiration Gate:
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...04y the work as descrikked in:
i IMIT NO.
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Receipt #: 27200000000000001185
Date: 11/06/2000
TIDE D E sMTEA. RCK
Line Items:
Case No Tran Code Description Revenue Account No. Amount Due
SGN2000-00183 [SIGN]Temp Sign Perm 100-0000-437000 $15.00
Payments:
Method Payer Bank No Acct Check Nd Confirm No. Amount Paid
Check PHYLLIS FILLMORE LIVING TRUSTEE 0 1127 $15.00
TOTAL AMOUNT PAID: $15.00